Black Beaver Medical Supply LLC
NPI 1013602135 · Durable Medical Equipment & Medical Supplies · Anadarko, OK
Black Beaver Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Anadarko, OK (NPI 1013602135).
Provider details
- NPI number
- 1013602135
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Justin Ayres, Billing Manager(405) 923-1993
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-05
- Last updated
- 2023-04-30
- Certified
- 2023-04-30
Frequently asked questions
- What is Black Beaver Medical Supply LLC's NPI number?
- Black Beaver Medical Supply LLC's National Provider Identifier (NPI) is 1013602135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Beaver Medical Supply LLC?
- Black Beaver Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Black Beaver Medical Supply LLC located?
- Black Beaver Medical Supply LLC's practice location on file with NPPES is 123 E Broadway St, Anadarko, OK 73005-2823.
- What is Black Beaver Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Beaver Medical Supply LLC is (405) 923-1993.
- Who is the authorized official for Black Beaver Medical Supply LLC?
- The authorized official listed on Black Beaver Medical Supply LLC's NPPES record is Justin Ayres, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Beaver Medical Supply LLC's NPI active?
- Yes — Black Beaver Medical Supply LLC's NPI (1013602135) is active in the NPPES registry as of the last update on 2023-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.